Provider Demographics
NPI:1457586000
Name:RAF LLC
Entity Type:Organization
Organization Name:RAF LLC
Other - Org Name:BRIGHTSTAR HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRACARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-988-2435
Mailing Address - Street 1:17-15 MAPLE AVE
Mailing Address - Street 2:SUITE 101L
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-1552
Mailing Address - Country:US
Mailing Address - Phone:201-773-4900
Mailing Address - Fax:201-773-4898
Practice Address - Street 1:17-15 MAPLE AVE
Practice Address - Street 2:SUITE 101L
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-1552
Practice Address - Country:US
Practice Address - Phone:201-773-4900
Practice Address - Fax:201-773-4898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0128000251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care